Provider Demographics
NPI:1336184902
Name:CARE HEALTH ASSOCIATES LLC
Entity Type:Organization
Organization Name:CARE HEALTH ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNITA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYUDU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-496-0730
Mailing Address - Street 1:124 ROSA RD STE 382
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2144
Mailing Address - Country:US
Mailing Address - Phone:518-496-0730
Mailing Address - Fax:518-389-1788
Practice Address - Street 1:1270 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2104
Practice Address - Country:US
Practice Address - Phone:518-496-0730
Practice Address - Fax:518-389-1788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ261QM1300X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0023884Medicaid
NY02523637Medicaid
NJ0023884Medicaid
110527Medicare PIN